DR. SANJAY GAUTAM ADHIA MD
NPI 1467658930
Psychiatry & Neurology - Forensic Psychiatry in Houston, TX

Active since June 22, 2007PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
1333 MOURSUND ST, HOUSTON, TX 77030(800) 447-3422 Get Directions Write a Review

NPPES record last updated: October 12, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 12, 2019, Sep 13, 2018 (2 updates tracked since 2018).

About Dr. Sanjay Gautam Adhia Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SANJAY GAUTAM ADHIA MD (NPI 1467658930) is an individual forensic psychiatry provider in Houston, Texas, licensed in Texas (Q0720) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1467658930
Entity TypeIndividualMale
Primary Taxonomy2084F0202X
Provider Legal NameDR. SANJAY GAUTAM ADHIACredential: MD
Location Address1333 MOURSUND STHouston, TX 77030
Mailing Address5826 New Territory Blvd Ste 803Sugar Land, TX 77479-5948 · (832) 746-5905
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 22, 2007
Last NPPES UpdateOctober 12, 20192 updates tracked since enumeration
NPI 1467658930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · Forensic PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084F0202X
License Licensed in TX · Q0720
Definition

Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals.

Also ListedPsychiatry & Neurology · Brain Injury MedicineTaxonomy 2084P0301X · License Q0270 (TX)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License Q0720 (TX)
1333 MOURSUND ST, Houston, TX 77030

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Sanjay Gautam Adhia Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496903692
PECOS Enrollment IDI20120913000106
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
76 services45 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services11 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
11 services11 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Rehabilitation Hospital
1333 MOURSUND ST
HOUSTON, TX 77030
Physical Therapist
1333 MOURSUND ST
HOUSTON, TX 77030
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1333 MOURSUND ST, TIRR PHARMACY
HOUSTON, TX 77030
Physical Medicine & Rehabilitation
1333 MOURSUND ST
HOUSTON, TX 77030
Speech-Language Pathologist
1333 MOURSUND ST
HOUSTON, TX 77030
Physical Medicine & Rehabilitation
1333 MOURSUND ST
HOUSTON, TX 77030
Physical Medicine & Rehabilitation
1333 MOURSUND ST
HOUSTON, TX 77030
Nurse Practitioner (Family)
1333 MOURSUND ST
HOUSTON, TX 77030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sanjay Adhia's NPI number?

The NPI number for Sanjay Adhia is 1467658930. It was assigned to this individual provider in the NPPES registry on June 22, 2007.

Where is Sanjay Adhia located?

Sanjay Adhia practices at 1333 Moursund St, Houston, TX 77030. The listed phone number is (800) 447-3422.

What is Sanjay Adhia's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Forensic Psychiatry, with taxonomy code 2084F0202X.

Is Sanjay Adhia enrolled in Medicare?

Yes. Sanjay Adhia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sanjay Adhia accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Sanjay Adhia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sanjay Adhia was last updated on October 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.